METHODS FOR DECREASING RESISTANCE TO CHEMOTHERAPY
The present disclosure shows that a stretch of 32 amino acids in BLM interacts with RAD54 and this interaction contributes to resistance against chemotherapeutic drugs such as cisplatin, camptothecin, oxaliplatin, etc. in cancer cells. The present disclosure provides an inhibitor of BML-RAD54 interaction as an adjunct therapy for treating cancer in a patient, wherein the patient is receiving primary chemotherapy. In some embodiments, the inhibitor of BML-RAD54 interaction is selected from Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, or a combination thereof.
The present application claims the benefit of priority to U.S. Provisional Application No. 63/426,360, filed on Nov. 17, 2022, the contents of which are hereby incorporated by reference herein in its entirety.
FIELD OF THE DISCLOSUREThe present disclosure relates to methods for treating cancer such as colon cancer. In particular, the present disclosure relates to methods for decreasing chemoresistance in colon cancer cells by disrupting BLM-RAD54 interaction within the cancer cells.
BACKGROUND OF THE DISCLOSUREDysregulation of one or more DNA repair pathways has been associated with tumor initiation and progression. As the rate of proliferation of cancer cells is much higher than that of normal cells, cancer therapy usually involves utilization of DNA damaging agents that more efficiently eliminate cancer cells than normal tissue cells. However, the efficacy of these toxic agents can be modulated by cancer cells by sensing the damaged DNA and by repairing the damaged DNA (Li et al., “DNA Repair Pathways in Cancer Therapy and Resistance”. Front Pharmacol. 2020; 11:629266). This heightened DNA repair capacity in cancer cells has been implicated in therapy resistance and thus poses a major challenge in the management of cancer (Sakthivel and Hariharan, “Regulatory players of DNA damage repair mechanisms: Role in Cancer Chemoresistance.” Biomed Pharmacother. 2017; 93:1238-45).
Thus, the treatment of cancer is associated with a major drawback that tumors/cancer cells show a diminished response (i.e., develop resistance) over a period of time to chemotherapeutic agents and/or radiation therapy. Indeed, this is one of the main reasons why, despite progress in chemotherapy, many cancers are still resistant to effective chemotherapeutic intervention. For example, resistance to chemotherapeutic agents/drugs is one of the main causes of poor treatment outcome in colon cancer patients. Chemoresistance can occur due to hyper-active DNA repair system which does not allow DNA breaks made by chemotherapeutic drugs (like cisplatin, camptothecin, oxaliplatin or their next generation derivatives) to persist in the cells and thereby rescues cancer cells from apoptosis. In particular, Homologous Recombination (HR) repair has been implicated in cancer development and drug resistance (Helleday, “Homologous recombination in cancer development, treatment and development of drug resistance.” Carcinogenesis. 2010; 31(6):955-60).
Bloom syndrome protein (BLM) is a multi-functional protein that functions both during DNA damage sensing and DNA repair (Kaur et al., “Functions of BLM Helicase in Cells: Is It Acting Like a Double-Edged Sword?” Front Genet. 2021; 12:634789). During DNA damage sensing, BLM functionally interacts with multiple key proteins during DNA damage response (Tripathi et al. “MRN complex-dependent recruitment of ubiquitylated BLM helicase to DSBs negatively regulates DNA repair pathways.” Nature communications. 2018; 9(1):1016). During the repair phase, BLM functions in the repair of DNA double strand breaks (DSBs) particularly during HR using several different mechanisms (Kaur et al. “Functions of BLM Helicase in Cells: Is It Acting Like a Double-Edged Sword?” Front Genet. 2021; 12:634789). A lack of functional BLM protein has been associated with a rare genetic disorder Bloom Syndrome (BS) (Ellis et al. “The Bloom's syndrome gene product is homologous to RecQ helicases.” Cell. 1995; 83(4):655-66). Typical characteristics of BS patients include increased sensitivity towards DNA-damaging agents including hydroxyurea (HU), camptothecin and ionizing radiation, thereby predisposing these patients to a wide spectrum of cancers including solid cancers, leukemias and lymphomas (Cunniff et al. “Bloom's Syndrome: Clinical Spectrum, Molecular Pathogenesis, and Cancer Predisposition.” Mol Syndromol. 2017; 8(1):4-23). Recent reports have suggested that in multiple cancers including colon cancer, BLM protein is aberrantly overexpressed and the aberrant expression has been linked to poor patient outcome (Kaur et al., “Functions of BLM Helicase in Cells: Is It Acting Like a Double-Edged Sword?” Front Genet. 2021; 12:634789). Another core factor in the HR pathway, RAD54, is involved in multiple crucial steps in this process in concert with the central homologous pairing protein, RAD51 (Heyer et al. “Rad54: the Swiss Army knife of homologous recombination?” Nucleic Acids Res. 2006; 34(15):4115-25).
Remodeling of chromatin occurs at different steps during DNA damage response. RAD54 has been demonstrated to function as a chromatin remodeler, both in vitro (Alexeev et al. “Rad54 protein possesses chromatin-remodeling activity stimulated by the Rad51-ssDNA nucleoprotein filament.” Nat Struct Biol. 2003; 10(3):182-6) and in cellulo (Wolner and Peterson. “ATP-dependent and ATP-independent roles for the Rad54 chromatin remodeling enzyme during recombinational repair of a DNA double strand break.” J Biol Chem. 2005; 280(11):10855-60). The remodeling complexes also play a critical role in repositioning of the nucleosomes immediately after exposure to DNA damage in order to provide repair enzymes access to the damaged DNA and thereby ensuring that the response pathway becomes operative and thus prevent genomic alterations (Lans et al., “ATP-dependent chromatin remodeling in the DNA-damage response. Epigenetics Chromatin.” 2012; 5:4; Stadler and Richly. “Regulation of DNA Repair Mechanisms: How the Chromatin Environment Regulates the DNA Damage Response.” Int J Mol Sci. 2017; 18(8)). It has been shown that the N-terminal (1-212) region of BLM enhanced the chromatin remodeling activity of RAD54 (Srivastava et al. “BLM helicase stimulates the ATPase and chromatin-remodeling activities of RAD54.” J Cell Sci. 2009; 122(Pt 17):3093-103).
Prior studies indicate that RAD54 and BLM helicase play pivotal roles during homologous recombination repair ensuring genome maintenance. The present disclosure explores whether BLM-RAD54 interaction plays a role in development of resistance to chemotherapy in cancer cells and provides treatment methods comprising administering one or more small molecule which can disrupt or inhibit BLM-RAD54 interaction or complex formation as an adjunct therapy to treat cancer by reducing resistance to chemotherapy in cancer cells and the like.
SUMMARY OF THE DISCLOSUREThe present disclosure provides a method for treating cancer in a patient in need thereof, comprising: a) administering a chemotherapy to the patient; and b) administering an inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction to the patient after starting or simultaneously with the chemotherapy. In some embodiments, the cancer treated by the methods of the present disclosure is a cancer where cancer cells develop resistance to primary treatment such as chemotherapy due to BLM-RAD54 interaction in cancer cells.
The present disclosure further provides a method for treating colorectal cancer in a patient in need thereof, comprising: a) administering a chemotherapy to the patient; and b) administering an inhibitor of BLM and RAD54 interaction to the patient after starting or simultaneously with the chemotherapy.
The present disclosure further provides a method for inhibiting an interaction of BLM and RAD54 in cancer cells, comprising contacting the cancer cells with an inhibitor of BLM-RAD54 interaction selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
The present disclosure provides a method for reducing resistance to chemotherapy in a cancer patient, comprising administering an inhibitor of BLM-RAD54 interaction to the cancer patient after starting or along with the chemotherapy.
The present disclosure provides an inhibitor of BLM and RAD54 interaction for use as an adjunct therapy in a method for treating cancer. In some embodiments, the inhibitor of BLM-RAD54 interaction is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof. In some embodiments, an inhibitor of BLM-RAD54 interaction is selected from the group consisting of: Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof. In some embodiments, the method for treating cancer comprises administration of one or more chemotherapeutic agents (such as camptothecin, oxaliplatin and cisplatin or their next generation derivative). In some embodiments, the method for treating cancer comprises administration of cisplatin, oxaloplatin, carboplatin, camptothecin, 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Trifluridine, tipiracil, or a combination thereof.
With respect to the use of substantially any plural and/or singular terms herein, those having skill in the art can translate from the plural to the singular and/or from the singular to the plural as is appropriate to the context and/or application. The various singular/plural permutations may be expressly set forth herein for sake of clarity. The use of the expression “at least” or “at least one” suggests the use of one or more elements or ingredients or quantities, as the use may be in the embodiment of the disclosure to achieve one or more of the desired objects or results. Throughout this specification, the word “comprise”, or variations such as “comprises” or “comprising” or “containing” or “has” or “having”, or “including but not limited to” wherever used, will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, but not the exclusion of any other element, integer or step, or group of elements, integers or steps.
Reference throughout this specification to “one embodiment”, “an embodiment”, or “some embodiments” means that a particular feature, structure or characteristic described in connection with the embodiment may be included in at least one embodiment of the present disclosure. Thus, the appearances of the phrases “in one embodiment”, “in an embodiment”, or “in some embodiments” in various places throughout this specification may not necessarily all refer to the same embodiment. It is appreciated that certain features of the disclosure, which are, for clarity, described in the context of separate embodiments, may also be provided in combination in a single embodiment. Conversely, various features of the disclosure, which are, for brevity, described in the context of a single embodiment, may also be provided separately or in any suitable subcombination.
The term “subject” or “patient” as used herein refers to any mammal including, without limitation, humans and other primates (e.g., chimpanzees and other apes and monkey species), farm animals (e.g., cattle, sheep, pigs, goats and horses), domestic mammals (e.g., dogs and cats), and laboratory animals (e.g., rodents such as mice, rats, and guinea pigs). In some embodiments, the patient is a mammal. In some embodiments, the patient is a pet such as a cat or a dog. In some embodiments, the patient is a human.
The terms “an inhibitor of BLM-RAD54 interaction” and “an inhibitor of BLM-RAD54 complex formation” are used interchangeably throughout the disclosure and encompass compounds that inhibit or bind to BLM, compounds that inhibit or bind to RAD54, and compounds that inhibit or disrupt the interaction or the complex formation between BLM and RAD54. In some embodiments, the term “an inhibitor or disruptor of BLM-RAD54 interaction” encompasses compounds selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, and a combination thereof. In some embodiments, the term “an inhibitor of BLM-RAD54 interaction” refers to Acetazolamide, Dipyridamole, Loxapine Succinate, or a combination thereof.
The terms “adjunct therapy”, “adjunctive therapy” or “adjuvant therapy” as used herein refer to a therapy given in addition to the main/primary treatment to maximize the effectiveness of the main/primary treatment. In some embodiments, administration of an inhibitor of BLM-RAD54 interaction can be considered as an adjunct therapy that is administered with a main/primary treatment to treat cancer.
The term “about” as used herein encompasses variations of +/−10% and more preferably +/−5%, as such variations are appropriate for practicing the present invention.
The inventor found that a stretch of 32 amino acids in BLM interact with RAD54 and enhance the chromatin remodeling function of RAD54. The inventor observed that functionally, this interaction between BLM and RAD54 increased Homologous Recombination (HR) repair resulting in decreased DNA damage in cancer cells and contributed to chemoresistance against chemotherapeutic agents such as cisplatin, camptothecin, oxaliplatin etc. promoting tumorigenesis in preclinical colon cancer mouse models. Further analysis showed increased BLM/RAD54 co-recruitment on MRP2 promoter in chemoresistant cancer cells leading to BLM-dependent enhancement of RAD54 chromatin remodeling. Based on these findings, the present disclosure provides methods for inhibiting BLM-RAD54 interaction in cancer cells, methods for treating cancer, and methods for decreasing resistance to chemotherapy in cancer cells comprising administering an inhibitor of BLM-RAD54 interaction.
In some embodiments, provided herein is a method for treating cancer in a patient in need thereof, comprising: a) administering a chemotherapy to the patient; and b) administering an inhibitor of BLM-RAD54 interaction to the patient after starting the chemotherapy or simultaneously with chemotherapy.
In some embodiments, provided herein is a method for reducing resistance to chemotherapy in a cancer patient, comprising administering an inhibitor of BLM-RAD54 interaction to the cancer patient after starting the chemotherapy or simultaneously with chemotherapy.
The findings of the inventor indicate that the administration of an inhibitor of BLM-RAD54 interaction to cancer cells reduces the level of chemoresistance exhibited by the cancer cells upon exposure to chemotherapeutic agents. That is, the administration of an inhibitor of BLM-RAD54 interaction to cancer cells helps in keeping cancer cells sensitive to chemotherapeutic agents thereby increasing effectiveness of chemotherapy. Accordingly, the methods of the present disclosure comprise administration of an inhibitor of BLM-RAD54 interaction to cancer cells after starting the chemotherapy to reduce the possibility of developing resistance to chemotherapy.
In some embodiments, the cancer treated by the methods of the present disclosure is selected from colorectal cancer, breast cancer, stomach (gastric) cancer, ovarian cancer, small cell lung cancer and leukemia. In some embodiments, the cancer treated by the methods of the present disclosure is colorectal cancer. The term “colorectal cancer” encompasses colon cancer and rectal cancer.
In some embodiments, the cancer treated by the methods of the present disclosure is the cancer where cancer cells develop resistance to primary chemotherapy due to BLM-RAD54 interaction in the cancer cells.
In some embodiments, an inhibitor of BLM-RAD54 interaction is administered as an adjunct therapy to a primary treatment for cancer, wherein the primary treatment comprises administration of one or more chemotherapeutic agents selected from (i) alkylating agents such as altretamine, bendamustine, Busulfan, Carboplatin, Carmustine, Chlorambucil, Cisplatin, Cyclophosphamide, Dacarbazine, Ifosfamide, Lomustine, Mechlorethamine, Melphalan, Oxaliplatin, Temozolomide, Thiotepa, Trabectedin; (ii) nitrosoureas such as Carmustine, Lomustine, and Streptozocin; (iii) antimetabolites such as Azacitidine, 5-fluorouracil (5-FU), 6-mercaptopurine (6-MP), Capecitabine (Xeloda), Cladribine, Clofarabine, Cytarabine (Ara-C), Decitabine, Floxuridine, Fludarabine, Gemcitabine (Gemzar), Hydroxyurea, Methotrexate, Nelarabine, Pemetrexed (Alimta), Pentostatin, Pralatrexate, Thioguanine, Trifluridine/tipiracil combination; (iv) anti-tumor antibiotics such as Daunorubicin, Doxorubicin (Adriamycin), Epirubicin, Idarubicin, Valrubicin, Bleomycin, Dactinomycin, Mitomycin-C, Mitoxantrone; (v) Topoisomerase I inhibitors (also called camptothecins) such as Irinotecan, Topotecan; (vi) Topoisomerase II inhibitors (also called epipodophyllotoxins) such as Etoposide (VP-16), Mitoxantrone, Teniposide; (vii) mitotic inhibitors such as taxanes (e.g., Cabazitaxel, Docetaxel, Nab-paclitaxel, Paclitaxel) and vinca alkaloids (e.g., Vinblastine, Vincristine, Vinorelbine); (viii) corticosteroids such as Prednisone, Methylprednisolone, Dexamethasone; (ix) other chemotherapeutic drugs such as All-trans-retinoic acid, Arsenic trioxide, Asparaginase, Eribulin, Hydroxyurea, Ixabepilone, Mitotane, Omacetaxine, Pegaspargase, Procarbazine, Romidepsin, and Vorinostat.
In some embodiments, chemotherapy administered to the cancer patient comprises cisplatin, oxaloplatin, carboplatin, camptothecin, 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Trifluridine, tipiracil, or a combination thereof.
In some embodiments, chemotherapy administered to the cancer patient comprises cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof. In some embodiments, chemotherapy administered to the cancer patient comprises 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof
In some embodiments, the inhibitor of BLM-RAD54 interaction is selected from the group consisting of Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
In some embodiments, the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate or other pharmaceutically acceptable salt thereof, or a combination thereof.
In some embodiments, the inhibitor of BLM-RAD54 interaction is administered after starting the chemotherapy. A chemotherapy is generally administered in cycles. The inhibitor of BLM-RAD54 interaction can be administered after starting the chemotherapy. For example, the inhibitor of BLM-RAD54 interaction can be administered after completing 1 cycle, 2 cycles, 3 cycles, 4 cycles of chemotherapy and the like; or it can be administered after every cycle is completed, or after every other cycle is completed, or after every 2 cycles are completed and the like.
In some embodiments, the inhibitor of BLM-RAD54 interaction is administered simultaneously with the chemotherapy. For example, the inhibitor of BLM-RAD54 interaction is administered during the chemotherapy cycle. For example, it can be administered separately on the day of chemotherapy or it can be co-administered with the chemotherapeutic agents.
In some embodiments, the inhibitor of BLM-RAD54 interaction is administered after starting the chemotherapy, i.e., after completing a desired cycle of chemotherapy, as well as simultaneously with/during the chemotherapy.
In some embodiments, administration of the inhibitor of BLM-RAD54 interaction to a cancer patient inhibits the interaction of BLM and RAD54 in cancer cells of the patient by about 10%-80%, including values and ranges thereof, compared to levels of BLM-RAD54 interaction in the absence of administration of the inhibitor. In some embodiments, administration of the inhibitor of BLM-RAD54 interaction to a cancer patient inhibits the interaction of BLM and RAD54 in cancer cells of the patient by about 10%-75%, 10%-70%, 10%-65%, 10%-60%, 10%-50%, 10%-45%, 10%-40%, 10%-30%, 20%-80%, 20%-75%, 20%-70%, 20%-65%, 20%-60%, 20%-50%, 20%-45%, 20%-40%, 20%-35%, 30%-80%, 30%-75%, 30%-70%, 30%-65%, 30%-60%, 30%-50%, 30%-45%, 40%-80%, 40%-75%, 40%-70%, 40%-65%, 40%-60%, 40%-50%, 50%-80%, 50%-75%, 50%-70%, or 60%-80%, including values and ranges thereof, compared to levels of BLM-RAD54 interaction in the absence of the inhibitor. In some embodiments, administration of the inhibitor of BLM-RAD54 interaction to a cancer patient inhibits the interaction of BLM and RAD54 in cancer cells of the patient by about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, or 80%, compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
In some embodiments, administration of the inhibitor of BLM-RAD54 interaction to a cancer patient reduces proliferation of cancer cells by about 10%-80%, including values and ranges thereof, compared to proliferation of cancer cells in the absence of the inhibitor. In some embodiments, administration of the inhibitor of BLM-RAD54 interaction to a cancer patient reduces proliferation of cancer cells by about 10%-75%, 10%-70%, 10%-65%, 10%-60%, 10%-50%, 10%-45%, 10%-40%, 10%-30%, 20%-80%, 20%-75%, 20%-70%, 20%-65%, 20%-60%, 20%-50%, 20%-45%, 20%-40%, 20%-35%, 30%-80%, 30%-75%, 30%-70%, 30%-65%, 30%-60%, 30%-50%, 30%-45%, 40%-80%, 40%-75%, 40%-70%, 40%-65%, 40%-60%, 40%-50%, 50%-80%, 50%-75%, 50%-70%, or 60%-80%, including values and ranges thereof, compared to proliferation of cancer cells in the absence of the inhibitor. In some embodiments, administration of the inhibitor of BLM-RAD54 interaction to a cancer patient reduces proliferation of cancer cells by about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, or 80%, compared to proliferation of cancer cells in the absence of the inhibitor.
The dosage amount and the frequency of administration of the inhibitor of BLM-RAD54 interaction to the patient varies based on a variety of factors, such as, age, weight, sex, a medical condition of the patient, and/or the dosage and frequency of chemotherapy administered to the patient. Chemotherapy is often administered in cycles, i.e., there is a period of treatment and a period of rest, and this cycle is repeated. The inhibitor of BLM-RAD54 interaction according to the present methods can be administered after the first exposure of cancer cells to chemotherapy, after the subsequent exposures of cancer cells to chemotherapy, after every exposure of cancer cells to chemotherapy, after every other exposure of cancer cells to chemotherapy, after every second exposure of cancer cells to chemotherapy and the like. The frequency of administration of the inhibitor of BLM-RAD54 interaction can vary to ensure that a majority of cancer cells, such as about 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 90%, 95%, or 99% of cancer cells remain sensitive to chemotherapy.
In some embodiments, the inhibitor of BLM-RAD54 interaction is administered orally or parenterally. Parenteral administration comprises administration via injection or infusion. In some embodiments, parenteral administration is selected from intravenous, intramuscular, intradermal, subcutaneous, intratumoral, intralesional, intraperitoneal, and intrathecal administration. In some embodiments, parenteral administration is administration via intravenous infusion.
In some embodiments, acetazolamide or a pharmaceutically acceptable salt thereof is administered to a subject receiving chemotherapy in an amount of about 100 mg per day to 1500 mg per day, including values and ranges thereof, such as about 200-1500 mg, 200-1300 mg, 200-1000 mg, 200-800 mg, 200-700 mg, 200-500 mg, 200-400 mg, 250-1200 mg, 250-1000 mg, 250-800 mg, 250-750 mg, 250-650 mg, 250-550 mg, 250-500 mg, 250-450 mg, 300-1500 mg, 300-1200 mg, 300-1000 mg, 300-800 mg, 300-750 mg, 300-600 mg, 300-500 mg, 400-1500 mg, 400-1200 mg, 400-1000 mg, 400-800 mg, 400-600 mg, 500-1500 mg, 500-1200 mg, 500-1000 mg, 500-800 mg, 500-750 mg, 700-1500 mg, 700-1300 mg, 700-1200 mg, 700-1000 mg, 900-1300 mg, or 900-1500 mg per day. In some embodiments, acetazolamide or a pharmaceutically acceptable salt thereof is administered to a subject receiving chemotherapy in an amount of about 250 mg to about 1000 mg per day or about 250 mg to about 500 mg per day. The daily dose can be administered once or multiple times in a day. The frequency of administration may vary based on various factors such as age, weight, sex, and dosing and frequency of primary chemotherapeutic agents being administered. In some embodiments, acetazolamide or a pharmaceutically acceptable salt thereof is administered to a subject receiving chemotherapy orally or parenterally.
In some embodiments, dipyridamole or a pharmaceutically acceptable salt thereof is administered to a subject receiving chemotherapy in an amount of about 200-600 mg per day, including values and ranges thereof, such as about 200-500 mg, 200-400 mg, 250-600 mg, 250-500 mg, 250-400 mg, 300-600 mg, 300-500 mg, 300-400 mg, 400-600 mg, or about 400-500 mg per day. In some embodiments, dipyridamole or a pharmaceutically acceptable salt thereof is administered to a subject receiving chemotherapy in an amount of about 300-400 mg per day. The daily dose can be administered once or multiple times in a day. The frequency of administration may vary based on various factors such as age, weight, sex, and dosing and frequency of primary chemotherapeutic agents being administered. In some embodiments, dipyridamole or a pharmaceutically acceptable salt thereof is administered to a subject receiving chemotherapy orally or parenterally.
In some embodiments, loxapine succinate or other pharmaceutically acceptable salt of loxapine is administered to a subject receiving chemotherapy in an amount of about 10-250 mg per day, including values and ranges thereof, such as about 10-200 mg, 10-150 mg, 10-100 mg, 10-75 mg, 10-60 mg, 10-50 mg, 10-40 mg, 25-250 mg, 25-200 mg, 25-150 mg, 25-100 mg, 25-75 mg, 25-50 mg, 50-250 mg, 50-200 mg, 50-150 mg, 50-100 mg, 60-200 mg, 60-150 mg, 60-100 mg, 75-250 mg, 75-200 mg, 75-150 mg, 75-100 mg, 100-250 mg, or 100-200 mg per day. In some embodiments, loxapine succinate or other pharmaceutically acceptable salt of loxapine is administered to a subject receiving chemotherapy in an amount of about 10-60 mg per day. The daily dose can be administered once or multiple times in a day. The frequency of administration can vary based on various factors such as age, weight, sex, and dosing and frequency of primary chemotherapeutic agents being administered. In some embodiments, loxapine succinate or other pharmaceutically acceptable salt of loxapine is administered to a subject receiving chemotherapy orally or parenterally.
The present disclosure also provides a method for inhibiting an interaction of BLM and RAD54 in cancer cells, comprising contacting the cancer cells with the inhibitor of BLM-RAD54 interaction as described herein. In some embodiments, the cancer cells are colorectal cancer cells which include colon cancer cells and/or rectal cancer cells. When cancer cells are contacted with the inhibitor of BLM-RAD54 interaction, the inhibitor reduces the interaction of BLM and RAD54 or disrupts the interaction between BLM and RAD54 in cancer cells by the values and ranges described herein compared to untreated or control-treated cancer cells. When cancer cells are contacted with the inhibitor of BLM-RAD54 interaction, the inhibitor reduces the proliferation of cancer cells by the values and ranges described herein compared to untreated or control-treated cancer cells.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use as an adjunct therapy in the treatment of cancer. In some embodiments, the inhibitor of BLM-RAD54 interaction is used as an adjunct therapy for treating a cancer selected from colorectal cancer, breast cancer, stomach (gastric) cancer, ovarian cancer, small cell lung cancer and leukemia. In some embodiments, the inhibitor of BLM-RAD54 interaction is used as an adjunct therapy for treating colorectal cancer which encompasses colon cancer and rectal cancer. In some embodiments, the inhibitor of BLM-RAD54 interaction is used as an adjunct therapy for treating colon cancer.
An inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to increase the effectiveness of the main/primary treatment for cancer. In some embodiments, an inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment for cancer, wherein the primary treatment comprises administration of one or more chemotherapeutic agents selected from (i) alkylating agents such as altretamine, bendamustine, Busulfan, Carboplatin, Carmustine, Chlorambucil, Cisplatin, Cyclophosphamide, Dacarbazine, Ifosfamide, Lomustine, Mechlorethamine, Melphalan, Oxaliplatin, Temozolomide, Thiotepa, Trabectedin; (ii) nitrosoureas such as Carmustine, Lomustine, and Streptozocin; (iii) antimetabolites such as Azacitidine, 5-fluorouracil (5-FU), 6-mercaptopurine (6-MP), Capecitabine (Xeloda), Cladribine, Clofarabine, Cytarabine (Ara-C), Decitabine, Floxuridine, Fludarabine, Gemcitabine (Gemzar), Hydroxyurea, Methotrexate, Nelarabine, Pemetrexed (Alimta), Pentostatin, Pralatrexate, Thioguanine, Trifluridine/tipiracil combination; (iv) anti-tumor antibiotics such as Daunorubicin, Doxorubicin (Adriamycin), Epirubicin, Idarubicin, Valrubicin, Bleomycin, Dactinomycin, Mitomycin-C, Mitoxantrone; (v) Topoisomerase I inhibitors (also called camptothecins) such as Irinotecan, Topotecan; (vi) Topoisomerase II inhibitors (also called epipodophyllotoxins) such as Etoposide (VP-16), Mitoxantrone, Teniposide; (vii) mitotic inhibitors such as taxanes (e.g., Cabazitaxel, Docetaxel, Nab-paclitaxel, Paclitaxel) and vinca alkaloids (e.g., Vinblastine, Vincristine, Vinorelbine); (viii) corticosteroids such as Prednisone, Methylprednisolone, Dexamethasone; (ix) other chemotherapeutic drugs such as All-trans-retinoic acid, Arsenic trioxide, Asparaginase, Eribulin, Hydroxyurea, Ixabepilone, Mitotane, Omacetaxine, Pegaspargase, Procarbazine, Romidepsin, and Vorinostat.
In some embodiments, an inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment for cancer, wherein the primary treatment comprises administration of a chemotherapeutic agent selected from cisplatin, oxaloplatin, carboplatin, camptothecin, 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Trifluridine, tipiracil, or a combination thereof.
In some embodiments, an inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment for cancer, wherein the primary treatment comprises administration of a chemotherapeutic agent selected from cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
In some embodiments, an inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment for cancer, wherein the primary treatment comprises administration of a chemotherapeutic agent selected from 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
In some embodiments, an inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment for cancer, wherein the primary treatment comprises administration of a chemotherapeutic agent selected from 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, and tipiracil.
In some embodiments, an inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment for cancer, wherein the cancer exhibits resistance to the primary treatment due to BLM-RAD54 interaction in cancer cells.
Provided herein is an inhibitor of BLM-RAD54 interaction for use in a method of treating cancer, wherein the inhibitor of BLM-RAD54 interaction is an adjunct therapy. In some embodiments, the method of treating cancer comprises the administration of one or more chemotherapeutic agents selected from (i) alkylating agents such as altretamine, bendamustine, Busulfan, Carboplatin, Carmustine, Chlorambucil, Cisplatin, Cyclophosphamide, Dacarbazine, Ifosfamide, Lomustine, Mechlorethamine, Melphalan, Oxaliplatin, Temozolomide, Thiotepa, Trabectedin; (ii) nitrosoureas such as Carmustine, Lomustine, and Streptozocin; (iii) antimetabolites such as Azacitidine, 5-fluorouracil (5-FU), 6-mercaptopurine (6-MP), Capecitabine (Xeloda), Cladribine, Clofarabine, Cytarabine (Ara-C), Decitabine, Floxuridine, Fludarabine, Gemcitabine (Gemzar), Hydroxyurea, Methotrexate, Nelarabine, Pemetrexed (Alimta), Pentostatin, Pralatrexate, Thioguanine, Trifluridine/tipiracil combination; (iv) anti-tumor antibiotics such as Daunorubicin, Doxorubicin (Adriamycin), Epirubicin, Idarubicin, Valrubicin, Bleomycin, Dactinomycin, Mitomycin-C, Mitoxantrone; (v) Topoisomerase I inhibitors (also called camptothecins) such as Irinotecan, Topotecan; (vi) Topoisomerase II inhibitors (also called epipodophyllotoxins) such as Etoposide (VP-16), Mitoxantrone, Teniposide; (vii) mitotic inhibitors such as taxanes (e.g., Cabazitaxel, Docetaxel, Nab-paclitaxel, Paclitaxel) and vinca alkaloids (e.g., Vinblastine, Vincristine, Vinorelbine); (viii) corticosteroids such as Prednisone, Methylprednisolone, Dexamethasone; (ix) other chemotherapeutic drugs such as All-trans-retinoic acid, Arsenic trioxide, Asparaginase, Eribulin, Hydroxyurea, Ixabepilone, Mitotane, Omacetaxine, Pegaspargase, Procarbazine, Romidepsin, and Vorinostat. In some embodiments, the method of treating cancer comprises the administration of a chemotherapeutic agent selected from cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof. In some embodiments, the method of treating cancer comprises the administration of a chemotherapeutic agent selected from 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof. In some embodiments, the method of treating cancer comprises the administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, and tipiracil.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use in reducing resistance to chemotherapy in a cancer patient. In some embodiments, the inhibitor of BLM-RAD54 interaction reduces resistance to chemotherapy in a patient having a cancer selected from colorectal cancer, breast cancer, stomach (gastric) cancer, ovarian cancer, small cell lung cancer and leukemia. In some embodiments, the inhibitor of BLM-RAD54 interaction reduces resistance to chemotherapy in a colorectal cancer patient. The colorectal cancer can be colon cancer or rectal cancer. In some embodiments, the inhibitor of BLM-RAD54 interaction reduces resistance to chemotherapy in a colon cancer patient.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use in reducing resistance to chemotherapy in a cancer patient, wherein the chemotherapy comprises administration of one or more chemotherapeutic agents selected from (i) alkylating agents such as altretamine, bendamustine, Busulfan, Carboplatin, Carmustine, Chlorambucil, Cisplatin, Cyclophosphamide, Dacarbazine, Ifosfamide, Lomustine, Mechlorethamine, Melphalan, Oxaliplatin, Temozolomide, Thiotepa, Trabectedin; (ii) nitrosoureas such as Carmustine, Lomustine, and Streptozocin; (iii) antimetabolites such as Azacitidine, 5-fluorouracil (5-FU), 6-mercaptopurine (6-MP), Capecitabine (Xeloda), Cladribine, Clofarabine, Cytarabine (Ara-C), Decitabine, Floxuridine, Fludarabine, Gemcitabine (Gemzar), Hydroxyurea, Methotrexate, Nelarabine, Pemetrexed (Alimta), Pentostatin, Pralatrexate, Thioguanine, Trifluridine/tipiracil combination; (iv) anti-tumor antibiotics such as Daunorubicin, Doxorubicin (Adriamycin), Epirubicin, Idarubicin, Valrubicin, Bleomycin, Dactinomycin, Mitomycin-C, Mitoxantrone; (v) Topoisomerase I inhibitors (also called camptothecins) such as Irinotecan, Topotecan; (vi) Topoisomerase II inhibitors (also called epipodophyllotoxins) such as Etoposide (VP-16), Mitoxantrone, Teniposide; (vii) mitotic inhibitors such as taxanes (e.g., Cabazitaxel, Docetaxel, Nab-paclitaxel, Paclitaxel) and vinca alkaloids (e.g., Vinblastine, Vincristine, Vinorelbine); (viii) corticosteroids such as Prednisone, Methylprednisolone, Dexamethasone; (ix) other chemotherapeutic drugs such as All-trans-retinoic acid, Arsenic trioxide, Asparaginase, Eribulin, Hydroxyurea, Ixabepilone, Mitotane, Omacetaxine, Pegaspargase, Procarbazine, Romidepsin, and Vorinostat.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use in reducing resistance to chemotherapy in a cancer patient, wherein the chemotherapy comprises administration of cisplatin, oxaloplatin, carboplatin, camptothecin, 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use in reducing resistance to chemotherapy in a cancer patient, wherein the chemotherapy comprises administration of cisplatin, oxaloplatin, carboplatin, or camptothecin, or a combination thereof.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use in reducing resistance to chemotherapy in a cancer patient, wherein the chemotherapy comprises administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
In some embodiments, the present disclosure provides an inhibitor of BLM-RAD54 interaction for use in reducing resistance to chemotherapy in a cancer patient, wherein the chemotherapy comprises administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, and tipiracil.
Provided herein is an inhibitor of BLM-RAD54 interaction for use in a method of treating cancer. In some embodiments, the method of treating cancer comprises the administration of one or more chemotherapeutic agents selected from (i) alkylating agents such as altretamine, bendamustine, Busulfan, Carboplatin, Carmustine, Chlorambucil, Cisplatin, Cyclophosphamide, Dacarbazine, Ifosfamide, Lomustine, Mechlorethamine, Melphalan, Oxaliplatin, Temozolomide, Thiotepa, Trabectedin; (ii) nitrosoureas such as Carmustine, Lomustine, and Streptozocin; (iii) antimetabolites such as Azacitidine, 5-fluorouracil (5-FU), 6-mercaptopurine (6-MP), Capecitabine (Xeloda), Cladribine, Clofarabine, Cytarabine (Ara-C), Decitabine, Floxuridine, Fludarabine, Gemcitabine (Gemzar), Hydroxyurea, Methotrexate, Nelarabine, Pemetrexed (Alimta), Pentostatin, Pralatrexate, Thioguanine, Trifluridine/tipiracil combination; (iv) anti-tumor antibiotics such as Daunorubicin, Doxorubicin (Adriamycin), Epirubicin, Idarubicin, Valrubicin, Bleomycin, Dactinomycin, Mitomycin-C, Mitoxantrone; (v) Topoisomerase I inhibitors (also called camptothecins) such as Irinotecan, Topotecan; (vi) Topoisomerase II inhibitors (also called epipodophyllotoxins) such as Etoposide (VP-16), Mitoxantrone, Teniposide; (vii) mitotic inhibitors such as taxanes (e.g., Cabazitaxel, Docetaxel, Nab-paclitaxel, Paclitaxel) and vinca alkaloids (e.g., Vinblastine, Vincristine, Vinorelbine); (viii) corticosteroids such as Prednisone, Methylprednisolone, Dexamethasone; (ix) other chemotherapeutic drugs such as All-trans-retinoic acid, Arsenic trioxide, Asparaginase, Eribulin, Hydroxyurea, Ixabepilone, Mitotane, Omacetaxine, Pegaspargase, Procarbazine, Romidepsin, and Vorinostat.
Provided herein is an inhibitor of BLM-RAD54 interaction for use in a method of treating cancer, wherein the method of treating cancer comprises administration of a chemotherapeutic agent selected from cisplatin, oxaloplatin, carboplatin, camptothecin, 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Trifluridine, tipiracil, or a combination thereof.
Provided herein is an inhibitor of BLM-RAD54 interaction for use in a method of treating cancer, wherein the method of treating cancer comprises administration of a chemotherapeutic agent selected from cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
Provided herein is an inhibitor of BLM-RAD54 interaction for use in a method of treating cancer, wherein the method of treating cancer comprises administration of a chemotherapeutic agent selected from 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
Provided herein is an inhibitor of BLM-RAD54 interaction for use in a method of treating cancer, wherein the method of treating cancer comprises administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, and tipiracil.
In some embodiments, the inhibitor of BLM-RAD54 interaction is selected from the group consisting of Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
In some embodiments, the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate or other pharmaceutically acceptable salt thereof, or a combination thereof.
In some embodiments, the inhibitor of BLM-RAD54 interaction for use in a method for treating cancer inhibits the interaction of BLM and RAD54 in cancer cells of the patient by about 10%-80%, 10%-75%, 10%-70%, 10%-65%, 10%-60%, 10%-50%, 10%-45%, 10%-40%, 10%-30%, 20%-80%, 20%-75%, 20%-70%, 20%-65%, 20%-60%, 20%-50%, 20%-45%, 20%-40%, 20%-35%, 30%-80%, 30%-75%, 30%-70%, 30%-65%, 30%-60%, 30%-50%, 30%-45%, 40%-80%, 40%-75%, 40%-70%, 40%-65%, 40%-60%, 40%-50%, 50%-80%, 50%-75%, 50%-70%, or 60%-80%, including values and ranges thereof, compared to levels of BLM-RAD54 interaction in the absence of the inhibitor. In some embodiments, the inhibitor of BLM-RAD54 interaction for use in a method for treating cancer inhibits the interaction of BLM and RAD54 in cancer cells of the patient by about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, or 80%, compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
In some embodiments, the inhibitor of BLM-RAD54 interaction for use in a method for treating cancer reduces proliferation of cancer cells by about 10%-80%, 10%-75%, 10%-70%, 10%-65%, 10%-60%, 10%-50%, 10%-45%, 10%-40%, 10%-30%, 20%-80%, 20%-75%, 20%-70%, 20%-65%, 20%-60%, 20%-50%, 20%-45%, 20%-40%, 20%-35%, 30%-80%, 30%-75%, 30%-70%, 30%-65%, 30%-60%, 30%-50%, 30%-45%, 40%-80%, 40%-75%, 40%-70%, 40%-65%, 40%-60%, 40%-50%, 50%-80%, 50%-75%, 50%-70%, or 60%-80%, including values and ranges thereof, compared to proliferation of cancer cells in the absence of the inhibitor. In some embodiments, the inhibitor of BLM-RAD54 interaction for use in a method for treating cancer reduces proliferation of cancer cells by about 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, or 80%, compared to proliferation of cancer cells in the absence of the inhibitor.
The dosing, the frequency of administration, and the routes of administration of the inhibitor of BLM-RAD54 interaction are described above.
The present disclosure also provides use of an inhibitor of BLM-RAD54 interaction as an adjunct therapy in the treatment of cancer. An inhibitor of BLM-RAD54 interaction is used as an adjunct therapy to a primary treatment as described above. The present disclosure also provides use of an inhibitor of BLM-RAD54 interaction for reducing resistance to chemotherapy in the treatment of cancer. The inhibitors of BLM-RAD54 interaction, their dosing, frequency and routes of administration and the cancers in which the inhibitors of BLM-RAD54 interaction are employed are as described above.
Descriptions of well-known/conventional methods/steps and techniques are omitted so as to not unnecessarily obscure the embodiments herein. Further, the disclosure herein provides for examples illustrating the above-described embodiments, and in order to illustrate the embodiments of the present disclosure certain aspects have been employed. The examples used herein for such illustration are intended merely to facilitate an understanding of ways in which the embodiments herein may be practiced and to further enable those of skill in the art to practice the embodiments herein. Accordingly, the following examples should not be construed as limiting the scope of the embodiments herein.
EXAMPLES Example 1: BLM-RAD54 Interaction is Enhanced in Colon Cancer CellsWhole cell lysates were prepared from colon cancer cells (HCT116) and normal colon epithelial cells (CCD 841 CoN). Immunoblotting was carried out with the BLM and RAD54 antibodies. The experiment was repeated three times. The results are shown in
Proximity Ligation Assay (PLA) was carried out with antibodies to BLM and RAD54. Amplified signals post DNA polymerization and hybridization of the complementary oligonucleotides labelled with fluorogenic readout were visualized in the Red channel. DAPI was visualized in the Blue channel while Merge indicates the combination of the Red and Blue channels. The Proximity Ligation Assay results in
It has been earlier demonstrated that the N-terminal region of BLM (1-212) (the UniProt identifier for the full-length sequence of human BLM is P54132) enhanced the RAD54-mediated chromatin remodeling activity (Srivastava V, Modi P, Tripathi V, Mudgal R, De S, and Sengupta S. BLM helicase stimulates the ATPase and chromatin-remodeling activities of RAD54. J Cell Sci. 2009; 122(Pt 17):3093-103). Using a Renilla luciferase-based protein complementation assay (PCA) (Stefan E, Aquin S, Berger N, Landry C R, Nyfeler B, Bouvier M, et al. Quantification of dynamic protein complexes using Renilla luciferase fragment complementation applied to protein kinase A activities in vivo. Proc Natl Acad Sci USA. 2007; 104(43):16916-21.), the inventors observed that BLM (181-212) cloned to luciferase fragment (BLM-F2) was sufficient to interact with the N-terminal region of RAD54 (1-212, N-RAD54-F1) (
Immunoprecipitations done in HCT116 BLM−/− cells expressing Flag tagged NLS BLM (181-212) demonstrated in cellulo interaction between this peptide stretch in BLM and endogenous RAD54 (
To determine whether BLM (181-212) was sufficient to enhance RAD54 mediated chromatin remodeling, measurement of the chromatin remodeling activity was carried out by using a restriction enzyme accessibility (REA) assay on chromatinized G5E4 array. G5E4 array containing 12 nucleosomes with a centrally located HhaI site occluded by one nucleosome is shown at the top of the gel picture in
REA assays were carried out with chromatinized G5E4 array using recombinant RAD54, BLM (1-212), BLM peptide (181-212) (termed BLM_peptide) or a scrambled peptide (termed SCM_peptide) having the same amino acid composition. All reactions were carried out in the presence of ATP. The reactions were stopped after 0 minute, 2 minutes, 4 minutes, 6 minutes, 8 minutes and 10 minutes. The fraction uncut is presented. The data is from three independent experiments. Mean±S.D. The gel pictures are shown in
BLM_peptide, i.e., BLM (181-212), carries out this function by enhancing the binding of ATP to RAD54 as shown in
BLM_peptide enhanced the binding of ATP to RAD54 and increased the ATPase activity of RAD54 leading to increased ATP hydrolysis as shown in
To determine how BLM peptide affects ATP binding and hydrolysis, tryptophan fluorescence assays were carried out using full-length recombinant RAD54 in presence of either BLM_peptide or SCM_peptide (
Next, it was tested whether removal of amino acids (181-212) in BLM abrogates the interaction between BLM and RAD54. For this, in vitro interaction was carried out between the bound GST or GST-BLM wildtype or GST BLM (Delta 181-212) and soluble His RAD54. The bound and interacting proteins were detected by anti-GST and anti-His antibodies, respectively. The experiment was repeated three times. See
In vivo interactions were carried out between GFP alone, GFP BLM or GFP BLM (Delta 181-212).
The data in
Next, it was determined whether the lack of amino acids (181-212) in BLM abrogates the enhancement of RAD54 mediated chromatin remodeling.
For this, chromatin remodeling assays were carried out under the following conditions: RAD54 wildtype alone (−ATP), RAD54 wildtype alone (+ATP), RAD54 wildtype+BLM wildtype (+ATP), RAD54 wildtype+BLM (Delta 181-212) (+ATP). A typical chromatin remodeling assay is shown in
Next, it was determined whether the interaction of BLM with RAD54 altered the repair response to the DNA damage and thereby influenced cell growth. To study the effect of BLM-RAD54 interaction within the cells, a TAMRA-tagged cell-permeable peptide for BLM (181-212) (termed BLM_CPP) and the scrambled sequence (termed SCM_CPP) were generated. Both the peptides were linked to an N-terminal SV40-derived Nuclear Localization Signal (NLS). The peptides were tested in GM03509 GFP cells lacking BLM expression. Specifically, asynchronously growing GM03509 GFP cells were treated with either 180 nM BLM_CPP or SCM_CPP for 2 hours after which the peptides were washed off. The intake of the TAMRA tagged peptides was monitored by live cell imaging. Representative images show that both TAMRA tagged BLM_CPP and TAMRA tagged SCM_CPP entered the nucleus of GM03509 GFP cells. The cellular uptake of BLM (181-212) cell permeable peptide (BLM_CPP) and scrambled cell permeable peptide (SCM_CPP) is illustrated in
Next, GM03509 GFP cells were either grown in presence of HU (for 16 hours) or for 6 hours more after washing away HU, but in presence of either 180 nM BLM_CPP or SCM_CPP (
To determine the biological consequences of the presence of BLM_CPP within the cells, GM03509 GFP-BLM and GM03509 GFP cells were treated with HU (16 hours) which arrested the cells in the G1/S boundary. Subsequently, HU was washed off and the cells were released for different time intervals in the presence of either 180 nM of BLM_CPP or SCM_CPP. Flow cytometry analysis revealed that BLM CPP allowed the cells to enter into proliferation mode much earlier than SCM_CPP as illustrated in
Next, GM03509 GFP-BLM and GM03509 GFP cells were treated with HU treatment (16 hours). Cells released post HU treatment were grown for 6 hours with (
For the experiment in
For the experiment in
To test whether the pro-proliferative effect might promote tumor resistance to chemotherapeutic drugs, isogenic lines GM03509 GFPBLM and GM03509 GFP cells were treated with 180 nM of BLM_CPP or SCM_CPP in presence of (
These findings were confirmed using five different colon cancer cells (HCT116, DLD1, HT-29, SW480, SW620) and their isogenic control in which the expression of BLM was ablated, for example, loss or depletion of BLM in colon cancer cells as shown in
To determine whether the BLM/RAD54 interaction remodeled chromatin at the promoters of Multi Drug Resistance (MDR) transporters and thereby affected chemoresistance, GM03509 BLM Clone 9.6 cells were generated by correcting the mutation in BLM gene (c.1784C>A) in the GM03509 fibroblasts obtained from a BS patient. Homology Directed Repair (HDR) dependent CRISPR/Cas9 system was used for this purpose. Specifically, a PCR product containing the genomic DNA from GM03509 BLM Clone 9.6 cells spanning the mutated site was cloned into TA vector. Sanger sequencing was carried out in 20 sub-clones.
Using GM03509 BLM Clone 9.6 cells, BLM ChIP-seq was performed to determine the regions where BLM is recruited in absence of any damage. The Circos plot obtained from BLM Chip-seq analysis carried out on GM03509 BLM Clone 9.6 cells showed the enrichment of BLM on various chromosomal locations.
Next, it was determined whether BLM is recruited to different promoters within 5 kb of Transcription Start Site (TSS) of gene promoters.
To determine the role of the MDR genes with respect to BLM/RAD54 interaction, a cell line was generated from HCT116 WT cells which was resistant to camptothecin (HCT116 IC60 CPTR). To determine whether the BLM-RAD54 complex was specifically recruited onto the MDR gene promoters, ChIP-qPCR experiments were performed by using BLM and RAD54 antibodies using the parental and resistant cells. The region used to check BLM/RAD54 recruitment by ChIP-qPCR was selected from the BLM ChIP-seq dataset. Both BLM and RAD54 were highly enriched only on MRP2 promoter. For this experiment, chromatin isolated from HCT116 WT and HCT116 IC60 CPTR cells was used for ChIP with either (left panel) anti-BLM or (right panel) anti-RAD54 antibody (
An array for REA using sequences from the MRP2 promoter was created. It was observed that, in parallel assay conditions, the RAD54-mediated chromatin remodeling was equivalent in both G5E4 and MRP2 array. REA assays were carried out with chromatinized G5E4 or MRP2 array using the following experimental conditions: RAD54-ATP, RAD54+ATP. The reactions were stopped after 1 minute, 5 minutes and 10 minutes (
BLM_peptide (but not SCM_peptide) also enhanced RAD54 mediated remodeling activity on MRP2 substrate (
The enhanced remodeling by BLM/RAD54 complex, resulted in increased transcription of multiple MDR genes (including MRP2) in HCT116 IC60 CPTR cells (
To determine whether enhanced chemoresistance due to RAD54-BLM had any effect on neoplastic transformation, it was first tested whether the presence of BLM_CPP had an effect on the anchorage independent growth of HCT116 BLM−/− cells. Indeed BLM_CPP enhanced the number of soft agar colonies even in the presence of CPT. Soft agar assay was carried out in HCT116 BLM−/− cells by treating them 180 nM of BLM_CPP or SCM_CPP in absence or presence of CPT (120 nM). The number of soft agar colonies in each condition were counted. The data is from three independent experiments. Mean±S.D. (
Having established that BLM-RAD54 interaction caused chemoresistance in colon cancer cells, it was determined whether breaking BLM-RAD54 interaction could re-sensitize colon cancer cells to the chemotherapeutic drugs. Using the Renilla luciferase-based protein complementation assay described earlier, 1280 FDA/EMA approved small molecules present in Prestwick chemical library were screened for their ability to disrupt BLM-RAD54 interaction. Each of the small molecules was incubated with HEK293T cells expressing BLM-F2 and N-RAD54-F1. Compared to cells expressing only BLM-F2 and N-RAD54-F1, the decrease in Renilla luciferase intensity in presence of each small molecule was monitored. Percentage disruption of the interaction between BLM F2 and N-RAD54 F1 was plotted in form of heatmap. The disruption of the BLM-RAD54 interaction was determined by a decrease in the Renilla luciferase activity as compared to control untreated cells. The extent of BLM-RAD54 disruption by all the tested compounds is shown in the form of heatmap (
For the data in
Both in vitro (
Furthermore, significant attenuation in the BLM-dependent enhancement of RAD54 mediated chromatin remodeling activity on G5E4 array was observed in presence of C3, C7 or C17 (
A significant attenuation in the BLM-dependent enhancement of RAD54 mediated chromatin remodeling activity was also observed on MRP2 array in presence of C3, C7 or C17 (
The presence of the disruptors also led to a decrease in the ATP binding to RAD54. Compounds C3, C7, C17 decreased BLM dependent enhancement of the binding of ATP by RAD54 (
The mechanism by which C3, C7, C17 affected BLM-RAD54 interaction was investigated. It was observed that C3, C7 and C17 quenched the tryptophan florescence of RAD54 even at 10 nM concentration (
To quantitate the plausible interaction between C3, C7, C17 and RAD54 protein, binding kinetics was performed by using Bio-Layer Interferometry (BLI). Specifically, Octet BLI based studies were performed to determine the dissociation constant of the interaction of different concentrations of Biotin BLM_Peptide and C3, C7, or C17 with His-RAD54 WT immobilized onto Ni-NTA-sensor. The affinity constant (KD)±SD is shown. The experiment was repeated three times and one representative experiment has been shown in
To understand the biological significance of this disruptions, the effect of C3, C7, C17 was examined on the viability of three resistant lines, namely HCT116 IC60 CPTR, HCT116 IC60 CDDPR (lines resistant to CPT and CDDP, created for this study) and HCT116 1-OHPR (Yang A D, Fan F, Camp E R, van Buren G, Liu W, Somcio R, et al. Chronic oxaliplatin resistance induces epithelial-to-mesenchymal transition in colorectal cancer cell lines. Clin Cancer Res. 2006; 12(14 Pt 1):4147-53.). The three resistant lines and their wildtype counterpart HCT116 were exposed to a gradient of CPT, CDDP or 1-OHP. Treatment with all molecules led to a reduction in the resistance of HCT116 IC60 CPTR, HCT116 IC60 CDDPR, HCT116 IC60 1-OHPR (
Specifically, HCT116 IC60 CPTR or HCT116 cells, HCT116 IC60 1-OHPR or HCT116 cells, HCT116 IC60 CDDPR or HCT116 cells were treated with 100 nM of C3, C7, C17 along with increasing concentrations of CPT or 1-OHP or CDDP for 72 hours. Concentrations of CPT used: 0.140 nM, 20 nM, 50 nM, 1000 nM. Concentration of 1-OHP: 0.14 μM, 2 μM, 4 μM, 6 μM, 8 μM. Concentrations of CDDP used: 0.140 μM, 2 μM, 5 μM, 10 μM. The percentage of viable cells were determined by MTT assays (
Further experiments were performed to understand whether the reverted chemoresistance due to C3, C7, and C17 was via modulation of MRP2 activity. As expected HCT116 IC60 CPTR cells displayed higher MRP2 activity as compared to HCT116 WT cells. Even upon treatment with only CPT or only small molecules—the same effect was observed. However, the combinatorial treatment of C3/C7/C17 with CPT led to enhanced accumulation of CDF dye suggesting a decreased MRP2 activity in presence of the three compounds. HCT116 WT and HCT116 WT IC60 CPTR cells were seeded and were either left untreated, or treated with CPT, or C3/C7/C17 alone or CPT+C3/C7/C17. The cells were incubated with MRP2 substrate CDFD for 30 minutes at 37° C. The accumulation of florescent product CDF was determined as a measure of MRP2 activity (
Finally, it was evaluated whether C3, C7, C17 reverted chemoresistance and thereby allowed better efficacy of CPT and 1-OHP in mouse xenograft models. Tumors were generated in either SCID or NSG mice using HCT116 IC60 CPTR or HCT116 IC60 1-OHPR cells implanted subcutaneously and injected with either CPT or 1-OHP alone or in combination with C3, C7, C17. As compared to the mice treated with CPT or 1-OHP alone, the dual treatment of either of the drugs with C3/C7/C17 inhibited the tumor growth of both HCT116 IC60 CPTR or HCT116 IC60 1-OHPR cells (
Decreased cell proliferation, as seen by decreased levels of Ki67 and PCNA levels (
To determine whether the three key players (MRP2, BLM and RAD54) were indispensable for reverting chemoresistance in colon cancer, siRNA-based ablation in xenograft studies was carried out using SCID mice. Once the tumor volume reached 50 mm3, either siControl or siRAD54 or siBLM or siMRP2 were injected at the base of the tumor using TAC6 polymer mediated in vivo delivery. The experiment was stopped after 21 days after which the levels of RAD54, BLM, MRP2 transcripts were analyzed by RT-qPCR to validate the downregulation of the cognate genes (
Xenografts assays were carried out in NSG mice using HCT116 CPT(R) cells stably expressing BLM (Delta 181-212) in BLM−/− background.
Xenografts assays were carried out in NSG mice using HT-29 OHP(R) cells. The mice were either left untreated, or treated with camptothecin (CPT) or C3/C7/C17 or CPT+C3/C7/C17. The tumour volumes post-injection of cells are shown in
Levels of the MDR genes were decreased in xenografts obtained in tumours from HT-29 OHP(R) cells without or with C17 treatment. RNA (
Xenografts assays were carried out in BALB/c mice using CT26 cells. The mice were either left untreated, or treated with camptothecin (CPT) or C3/C7/C17 or CPT+C3/C7/C17. The tumour volumes post-injection of cells are shown in
Levels of the MDR genes were decreased in tumours obtained from a syngeneic or allogenic model using CT26 cells without or with C17 treatment. RNA (
All HCT116 derived cells were grown in McCoy's 5A media, HT-29, DLD1, HEK293T, GM03509 GFP-BLM, GM03509 GFP were grown in DMEM while SW480, SW620 were grown in L15 medium. Cells were grown in 10% Fetal bovine serum supplemented with glutamine and anti-mycotic and anti-bacterial antibiotics. To generate stable lines EGFP-C1 or pEGFP-C1 NLS BLM (181-212) were transiently transfected in HCT116 BLM−/− cells using Lipofectamine 2000. Forty-eight hours post-transfection, cells were selected with G418 (1 mg/ml) for 5 days after which the mass obtained was maintained in presence of 200 μg/ml G418. All cells were tested to be free from mycoplasma contamination.
To generate camptothecin and cisplatin resistant cells (named as HCT116 IC60 CPTR, HCT116 IC60 CDDPR respectively), HCT116 wild type were seeded in a 10 cm dish to a confluency of 80%. The IC20 concentrations of cisplatin (3.38 μM) and camptothecin (12.6 nM) was added for 2 hours and 6 hours, respectively. Post treatment, the cells were washed twice with 1×PBS and fresh media was added. After every 48 hours, the media was changed and IC20 concentration of the drugs were added only if the confluency of cells was at least 80%. The IC20 resistant HCT116 cells was established after 4 rounds after checking the increase in the resistant index as determined using MTT. Similarly, IC40 HCT116 (15.5 μM of cisplatin and 30.8 nM of camptothecin) as well as IC60 HCT116 resistant cells (resistant to 35.09 μM cisplatin and 92.6 nM of camptothecin, respectively) are also generated following the same protocol. Resistant index was calculated using the following formula: Resistant index=IC60 of the resistant cells/IC60 of the parental cells. HCT116 IC60 1-OHPR cells (Yang et al., 2006) were resistant to 2 μM of oxaliplatin.
Generation of sgRNA-Cas9 Expressing Vectors
The homozygous transversion from C>A at nucleotide 1784 (exon 7) in the BLM gene in GM03509 BS cell line was corrected using oligomer-based gRNA-CRISPR-Cas9 lentivirus approach. The approach is based on two sets of LR Gateway compatible plasmids; sgRNAs pDonor and a lentiviral expression plasmid created in this study (PHASE-DEST-CAS9-P2A-GFP). To clone the BLM specific sgRNA targeting the region of interest within BLM gene locus, one predicted sgRNA (CACTGGAAGACAGTCTGTCT) near to the site of interest was selected. A set of forward and reverse 25 bases long oligomers representing the selected sgRNA; CACCGCACTGGAAGACAGTCTGTCT and its inverse complementary primer; AAACAGACAGACTGTCTTCCAGTGC were custom synthesized. The forward and reverse oligonucleotides were mixed at equimolar concentrations, phosphorylated, annealed, ligated to BbsI digested pDonor and transformed in TOP10 cells and plated onto the Kanamycin selection plate. Positive clones of BLM specific gRNAs in pDonor vector were identified through Sanger sequencing and were further shuttled efficiently to the DEST containing lentiviral CAS9 expression plasmid (PHASE-DEST-CMV-CAS9-P2A-GFP) using LR-gateway reaction.
Generation of VirusViral particles were produced by co-transfection of lentiviral expression plasmid (PHASE-gRNA-CMV-CAS9-P2A-GFP) together with packaging plasmids (pMDLg/pRRE, pRSV/REV, pMD2.G/V-SVG) [1 (8 μg):2 (4 μg):3 (2.66 μg) plasmid ratio) in Lenti-X HEK293T cell line using Xfect transfection reagent (1:0.5 ratio) in a 10 cm plates. Viral supernatants were collected 72 h post transfection and filtered using 0.45 μm filter followed by concentration using LentiX concentrator and titrated by qPCR (determination of number of transducing or infectious units per ml) on Hela cells. Titres for lentivirus were 6×107 TU/ml. The cleavage efficiency of the sgRNA was determined by performing Surveyor assay using Surveyor Mutation Detection Kit as per manufacturer instructions.
Generation of Double Cut Donor VectorThe double cut HDR donor vector was generated as described (Zhang et al., 2017). To obtain the HDR donor vector the following steps were sequentially performed (a) antisense strand of BLM sgRNA and the flanking PAM sequence was cloned into the XhoI/HindIII sites of mCherry2-C1; (b) sense strand of BLM sgRNA and the flanking PAM sequence was cloned into the KpnI/BamH1 sites of mCherry2-C1; (c) 1200 bp region spanning the site of mutation was PCR amplified from HCT116 WT genomic DNA was cloned into pUC18 at HindIII/KpnI sites, followed by mutating the PAM sequence for the sgRNA; (d) subcloning of the 1200 bp wildtype BLM sequence from pUC18 into mCherry2-C1 using HindIII/KpnI enzymes to generate the double cut donor vector.
Establishment of CRISPR/Cas9 Mediated BLM Corrected BS Cell LineGM03509 cells were transduced with the lentiviral vector expressing BLM sgRNA and GFP Cas9 at MOI of 0.1 using 10 μg/ml of polybrene. After 48 hours of transduction, 10 μg of double cut donor vector. The cells positive for mCherry and GFP were flow sorted and single cell was seeded in each well of the 96-well plate. The clones were screened for correction in the mutation by T7 enzyme mismatch cleavage (EMC) assay or surveyor analysis. PCR product of clone GM03509 BLM Clone 9.6 was cloned into TA vector and Sanger sequencing was carried out for 20 sub-clones which confirmed the correction in the genome of GM03509 cells. The expression of BLM in GM03509 BLM Clone 9.6 was then examined using the western blot and immunoflorescence assays. The functionality of the expressed BLM in GM03509 BLM Clone 9.6 cells was demonstrated by SCE assays.
Small Molecule Library, PeptidesEach of the small molecules in Prestwick Chemical Library were dissolved in DMSO to make 100 mM stocks. For in vitro assays subsequent dilutions were made in 1×PBS, while for in vivo studies, the compounds were dissolved in 1×PBS containing 5% DMSO. The sequence encoding BLM (181-212) was: STAQKSKKGKRNFFKAQLYTTNTVKTDLPPPS (designated as BLM_peptide). A control peptide sequence, ALGFTDQKTPKSKRTVNSKQPFKTPSKNLTAY (designated as the SCM_peptide) was designed which had the same amino acid composition and did not bear homology to any known protein in human protein database. The Cell Permeable Peptide (CPP) versions (BLM_CPP and SCM_CPP) were tagged with SV40 Large T antigen Nuclear localization Signal (PKKKRKVEDPYC) in the N-terminus and TAMRA in the C-terminus. The biotinylated version of BLM_peptide was named as Biotin BLM_Peptide.
Renilla Luciferase Based PCARenilla Luciferase (Rlu) based Protein complementation assay was carried out as described in (Stefan et al., 2007). For preliminary screening of the Prestwick Chemical Library (containing 1280 FDA/EMA approved small molecules), HEK293T cells were seeded in the 6-well plates a day prior to the transfection. Next day the cells were transfected by 2 μg each of pcDNA3.1 N-RAD54 F1, pcDNA3.1 C-RAD54 F1, pcDNA3.1 BLM F1, pcDNA3.1 BLM F2 plasmids (alone or in different combinations) using Lipofectamine 2000 (according to the manufacturer's protocol). 36 hours post-transfection, approximately 105 cells were seeded in a 96-well plate and incubated at 37° C. for 2 hour with or without 10 μM of the 1280 small molecules present in the library. 10 μM of Coenleterazine h was added into each well and Rluc activity was monitored for the first 10 seconds in Varioskan Microplate Reader (Thermo Fisher Scientific). The validation screen was performed with 17 small molecules at 100 μM, 10 μM, 1 μM, 100 nM, 10 nM and 1 nM concentrations. The percentage reduction in the protein-protein interaction was then calculated as compared to the control wells (without any small molecule).
Purification and In Vitro InteractionsAll GST-tagged and His tagged proteins were expressed in E. coli BL-21 DE3 competent cells at 16° C. overnight and subsequently purified according to standard protocols by binding to either Glutathione-S-Sepharose (for GST-tagged proteins) or Nickel-NTA beads (for His tagged proteins). The bound proteins were eluted out using either 2 mM reduced glutathione (for GST-tagged proteins) or 200 mM imidazole (for His tagged proteins). The eluted fractions were pooled, dialysed and used for the assays.
Chromatin Remodeling and Restriction Enzyme Accessibility AssayThe p2085S-G5E4 was digested with Asp718 and ClaI to release the 2.5 kb insert. pUC57-MRP2 array was digested with EcoR1 and HindIII to release the 2.6 kb insert. The released inserts fragments were end labelled with [□32P]ATP using T4 Polynucleotide Kinase enzyme. Nucleosomal reconstitution on the purified fragments were carried out using gradient salt dialysis method in presence of HeLa core histones. The radiolabelled reconstituted arrays were checked (in a 1% agarose gel), and subsequently used in restriction enzyme accessibility (REA) assays. For each reaction, 500 nM RAD54 (wildtype or mutants), 500 nM BLM protein (wildtype or mutants) or 180 nM BLM_peptide or SCM_peptide, radiolabelled array (1 nM) were used in 1×REA buffer (20 mM HEPES, pH 7.9; 40 mM KCl, 4 mM MgCl2) in the presence of 0.4 U/μl of HhaI. RAD51-ssDNA (500 nM-1.5 □M) was added where required. The concentration of ATP used in the reactions was 2 mM. C3, C7, C17 were added in the reaction mixture at a concentration of 10 μM. The reactions were incubated at 30° C. for different time intervals (as indicated in the figure legends). RAD51-ssDNA was prepared using 500 nM of RAD51 and 1.5 □M of oligonucleotide (molar concentration of nucleotides) as described in (Zhang et al., 2007). The sequence of the oligonucleotide used was oligonucleotide 2 in (Zhang et al., 2007). BLM-RAD54 disruptors were added at final concentration of 10 μM). The reactions were stopped by addition of the stop buffer (50 mM EDTA, 1.2% SDS), digested with Proteinase K (1 mg/ml) at 37° C. for 30 minutes. Proteins were removed by phenol-chloroform extraction, DNA was ethanol precipitated, washed and analysed on 1% agarose gels. The intensity of uncut products was measured from Phosphoimager scans taken in Typhoon™ laser-scanner platform (Cytiva) and ratio of the cut and the uncut products was quantitated using the inbuilt software.
Characterization ATPase AssayAssay for RAD54 ATPase activity was carried out as per the previously published protocol (Srivastava et al., 2009). His-RAD54 (120 nM) was incubated with the GST-BLM (1-212) or BLM_peptide or SCM_peptide (180 nM). Where gradient of proteins were used, the concentrations have been indicated in the figure legends. C3, C7, C17 were added in the reaction mixture at a concentration of 10 μM. φX174RF1 DNA (22 μM base pairs) was added to initiate the ATP hydrolysis reaction at 30° C. for 15 minutes and 20 nCi of [γ32P]ATP. 1 μl of the sample was spotted on the polyethyleneimine-coated TLC plate, resolved in 1M Formic Acid and 0.3M LiCl. The products of ATP hydrolysis were then visualized by Phosphoimager scans taken in Typhoon™ laser-scanner platform (Cytiva) and quantitated using the inbuilt software.
ATP Binding AssayA 20 μl reaction was set up with 120 nM of GST-RAD54 and 180 nM of either BLM_peptide or SCM_peptide or BLM (1-212) using 4 μl of 5×ATP binding assay buffer (100 mM Tris-Cl pH 7.5, 50 mM MgCl2, 10 mM MnCl2, 5 mM DTT) and 5 μCi of [γ32P]dATP. C3, C7, C17 were added in the reaction mixture at a concentration of 10 μM. Reactions were incubated at 30° C. for 20 minutes and were stopped with 10% TCA and samples were spotted on P81 phosphocellulose paper followed by washing of paper strips with 75 mM orthophosphoric acid. A minimum of 8 washes were given in 20 hrs of 1 hr each including a 12 hr wash. Following this, strips were dehydrated in ethanol for 10 min followed by liquid scintillation counting. Reactions without the substrate were spotted as control and the same process repeated.
In Vitro Interaction AssayspcDNA3.1 Flag RAD54 was used for coupled in vitro transcription/translation of RAD54 using T7 Quick coupled Transcription/Translation System kit S35 methionine. Interaction between bound GST-BLM (wildtype or mutants) and radiolabelled RAD54 were carried out as described previously (Gupta et al., 2014). Interactions between with bound GST-RAD54 or His-RAD54 and GST-BLM were carried out at 4° C. in 500 μl of GST buffer (50 mM Tris pH 7.5, 100 mM KCl, 10 mM MgCl2, 5% glycerol and 0.5% NP-40) for 2 hours in absence or presence of C3, C7, C17, after which the beads were washed twice with GST buffer. 10 μM of the 3 compounds were used in the in vitro interaction assays.
Bio-Layer Interferometry (BLI)The interactions between RAD54 and biotinylated BLM_peptide (181-212) as well as the various compounds were studied using Bio-layer interferometry (BLI) using the Octet K2 system (ForteBio Systems). Approximately, 250 μg of His-tagged RAD54 was immobilized onto a Ni-NTA chip for 600 s and the unbound protein was washed using 10 mM HEPES pH 7.5 buffer. Different concentrations of the biotinylated BLM (181-212) peptide (dissolved in water) and C3, C7, and C17 were prepared and loaded in the 96-well plate. Each of the reaction set was then used to check for their association with RAD54 captured on the sensor. The kinetics of the RAD54-BLM interaction was monitored for 180 s each for the association and the dissociation curves by dipping the sensors in a series of increasing concentrations of the BLM_peptide. 500 mM NaCl was used as the dissociation buffer. A control sensor with the immobilized RAD54 was used in parallel and was used to normalize the data. Washing in 350 mM EDTA regenerated the sensors for the next cycle of binding kinetics. The experiments were performed at 25° C. All the real-time data was analysed and KD values were determined using the Octet® Evaluation software using 1:1 fitting curves.
RT-qPCR, ChIP-qPCR, Re-ChIP qPCR
Total RNA was isolated from cells and tissues using TRIzol reagent containing 1% □-mercaptoethanol. cDNA was generated using Reverse transcriptase core kit according to manufacturer's protocol. RAD54 and BLM ChIP have been carried out according to published procedures (Priyadarshini et al., 2018; Schmidt et al., 2009). The sequential ChIP were performed according to a published protocol (Furlan-Magaril et al., 2009). The concentrations of input samples, ChIP DNA, Re-ChIP DNA were determined by Qubit using dsDNA HS assay kit. 1 ng of ChIP DNA or Re-ChIP DNA was used for qPCR with primers which amplify MRP2, MRP3 and MDR1 promoters. GAPDH primer was used as the internal control. All qPCR reactions were carried out in were carried out in QuantStudio 3 Real-time PCR system.
ChIP SequencingThe ChIP DNA libraries were constructed using NEBNext Ultra II DNA Library Prep with Sample Purification Beads (Catalog number-E7103L) according to the manufacturer's instructions. Next generation sequencing of libraries was performed using Illumina HiSeq 2500 rapid run V2 kit for 1×50 bp. The quality of the raw reads were determined using FastQC (http://www.bioinformatics.babraham.ac.uk/projects/fastqc/), followed by removal adaptors using Trimmomatic (Bolger et al., 2014). Bases with high Phred score (more than 30) were aligned to the current human genome (hg38 assembly) using Bowtie 1 (Langmead et al., 2009). Unique reads were then analyzed to determine the BLM enrichment on TSS as described (Bardet et al., 2011; Priyadarshini et al., 2018). The data was visualized as circos using RStudio and IGV tools.
Electrophoretic Mobility Shift Assay (EMSA)Assays were carried out according to a previously published protocol (Gupta et al., 2014), with minor modifications. For the reactions, the indicated recombinant proteins and a radiolabelled G5E4 array (1 nM) were used. The proteins and the radiolabelled array were incubated in a buffer [20 mM HEPES (pH 7.9), 40 mM KCl, 2 mM ATP and 4 mM MgCl2] at 30° C. for 30 min. Reactions were stopped by adding ADP and salmon sperm DNA to final concentrations of 5 mM and 100 μg/ml, respectively. The products were resolved on 0.6% agarose gel. The gels were dried and products analyzed in phosphoimager.
Tryptophan Fluorescence AssayTryptophan fluorescence measurements were performed on a Fluoromax Spectrofluorimeter (Horiba-Jobin Yvon Fluoromax 4). Recombinant His-RAD54 (500 nM) was excited at 280 nm and the emission intensity monitored at regular intervals from 295 nm to at least 450 nm. The emission spectra of RAD54 was determined either (a) alone or (b) in presence of BLM_peptide or SCM_peptide (c) in presence of C3, C7, C17. The concentrations used for RAD54, BLM_peptide, SCM_peptide, C3, C7, C17 are presented in the figure legends.
Chromatin FractionationChromatin fractionation was performed according to the protocol described in (Lou et al., 2006) with few modifications. Briefly, one 10 cm dish of HCT116 IC60 CPTR cells were lysed in Buffer I (50 mM HEPES, pH 7.5, 150 mM NaCl, 1 mM EDTA, 0.05% NP40 and protease and phosphatase inhibitors) for 2 minutes on ice. Cell lysates were centrifuged at 1575 g for 5 minutes at 4° C. The soluble proteins were collected as Fraction I. The precipitate obtained after centrifugation was washed once with Buffer I (designated as Fraction II), then extracted with Buffer II (50 mM Tris-HCl, pH 7.5, 150 mM NaCl, 1% NP40, 0.5% sodium deoxycholate, 0.1% SDS and protease and phosphatase inhibitors) on ice for 30 minutes with intermittent vortexing. The extracts were then centrifuged at 25,200 g for 20 minutes at 4° C. and supernatants were collected as the chromatin bound protein fraction (Fraction III).
MTT AssayCells were seeded in a 96-well plate overnight. Next day, the culturing media was replaced with Optimem media, followed by incubation with BLM_CPP or SCM_CPP for 1 hr. The final concentrations of the peptides were 450 nM for cisplatin (CDDP) and 180 nM (for all other drugs). The cells were then incubated with 100 nM of the C3, C7 and C17 along with gradient of the drugs for 2 hours (for CDDP) or 6 hours (for all other drugs). The IC60 concentrations of C3, C7 and C17 for each cell type was used. Post treatment, the cells were washed with 1×PBS and fresh media was added. After 72 hours, MTT assay was carried out to determine the percentage cell viability of the cells with respect to the untreated cells. Cells without any drug but in presence of C3, C7, C17 were also kept to examine the effect of these compounds alone on the cell viability.
Alkaline Comet AssayAlkaline Comet assay was carried out according to the published protocol (Olive and Banath, 2006). For the assay, GM03509 GFP-BLM and GM03509 GFP cells were treated with HU treatment (16 hours). Cells released post HU treatment were grown for 6 hours with 180 nM of BLM_CPP or SCM_CPP, following which Comet assays were carried out. For each experiment 2000 cells were used.
Soft Agar Assay3000 cells mixed with 0.4% agar and seeded on top of the 6-well plates pre-coated with 0.8% agar. The resistant cells were treated with 120 nM of CPT. Post-incubation cells were seeded. The media containing 100 nM of C3, C7, C17 was added at the start and replenished after every 3 days. The colonies were then counted after 15 days after staining with 0.25% Crystal Violet.
HR Assay and SCEFor HR assay, 10 μg of the HR plasmid (Seluanov et al., 2010) was digested with I-SceI, purified and eluted into 20 μl of 10 mM TrisHCl pH 8.0. 5 μg of the linearized reporter cassette along with 100 ng of tdTomato-N1 plasmid were transfected in an exponentially growing 10 cm dish of cells using FuGENE® HD Transfection Reagent. After 3 days of transfection, the cells were harvested. The GFP positive and TdRed positive cells were analysed by FACS. SCE assays were carried out as described earlier (Chabosseau et al., 2011).
Preparation of Lipid Nanoparticles of Camptothecin (CPT_NPs) and Peptides (BLM_NPs, SCM_NPs)Egg PC (1 mg), cholesterol (0.3 mg), DSPE-PEG2000-Amine (0.2 mg), Camptothecin (0.5 mg) were mixed in chloroform (0.2 mL) in 1:0.3:0.2:0.5 weight ratio in a round bottom Wheaton glass vial. Chloroform was evaporated by using stream of nitrogen to form a dry thin film. In case of BLM_NPs and SCM_NPs, EggPC (1 mg), cholesterol (0.5 mg), and DSPE- PEG2000-Amine (0.2 mg) were used to form the thin film by above mentioned method, and thin films were kept under vacuum for overnight. Thin films were then hydrated at 4° C. for 6 h with 1 mL saline (for Camptothecin liposomes) or 1 mL saline containing either BLM_peptide or scrambled (SCM) peptide. These lipid suspensions were sonicated in a bath sonicator for 2 min and extruded through 200 nm (14 times each) polycarbonate membranes. Free Camptothecin or peptide was removed by passing through 1 mL Sephadex G-25 bed. Encapsulation efficiency (concentration of Camptothecin or peptide in liposomes) was determined using absorbance method. Liposomes (10 μL) were dissolved in methanol (190 μL), followed by measurement of Camptothecin absorbance at 370 nm or peptide absorbance at 275 nm.
Hydrogel Preparations of Camptothecin and BLM_PeptideFor animal experiments, we used hydrogel based localized delivery of camptothecin and BLM or SCM peptide. We prepared the camptothecin entrapped gel (CPT-Gel), camptothecin and BLM_peptide entrapped gel (CPT-BLM-Gel), and camptothecin and scrambled (SCM) peptide gel (CPT-SCM-Gel) using a lithocholic acid-derived hydrogelator (Pal et al., 2019). Typically, camptothecin (5 mg) and 130 mg of gelator in 2 mL autoclaved water was heated to form clear solution. For combination hydrogels, 2.5 mg of peptide was added to heated solution containing Camptothecin. Solution was then sonicated and allowed to cool at room temperature to form hydrogel, and 0.2 mL of hydrogel was injected in each mouse near the tumor site.
Animal StudiesAll animal studies were carried out in National Institute of Immunology according to approved animal ethics protocols (IAEC #357/14, IAEC #398/15, IAEC #567/20). To determine whether CPT-BLM-Gel enhanced tumor growth in a xenograft mice model, 3×106 HCT116 BLM−/− cells mixed with Matrigel cells were injected into either Nude mice or SCID mice. The day when the approximate volume of the tumor was 50 mm3 was considered as Day 1. On Day 1, treatment with CPT-Gel was initiated at the base of the tumors either alone or along with the injection of either CPT-BLM-Gel or CPT-SCM-Gel.
To authenticate the effect of BLM (181-212) on tumor formation, xenograft studies were carried out in SCID mice with two stable lines in which either GFP or GFP NLS BLM (181-212) were expressed in HCT116 BLM−/− cells. 3×106 cells were mixed with Matrigel (1:1 ratio) and then injected subcutaneously.
To determine the effect of C3, C7, C17 on their ability to diminish tumor formation, the xenograft models were carried out in SCID and NSG mice using HCT116 WT IC60CPTR or HCT116 1-OHPR cells, respectively. Upon tumor formation (˜50 mm3), either CPT (1.25 mg/kg) alone, C3/C7/C17 alone (5 mg/kg) or CPT and C3/C7/C17 in combination were administered intraperitoneally after every 3 days. For experiments with HCT116 1-OHPR cells, 1-OHP was administered at 2 mg/kg dose either alone in combination with C3/C7/C17 (5 mg/kg). In all cases tumor volume were measured at the indicated days post-injection using the following formula: Tumor volume=½(length×width2).
Immunofluorescence and TUNEL AssayTo determine the effect of BLM_CPP or SCM_CPP on RAD51, RAD54 and γH2AX foci number, HCT116 BLM−/− cells were treated with HU for 16 hours. Cells were washed with 1×PBS and growth continued for an additional 6 hours with either 180 nM BLM_CPP or SCM_CPP. Cells were fixed with 4% paraformaldehyde and processed for immunofluorescence using antibodies against RAD51, RAD54 or γH2AX. Imaging and subsequent analysis was done in a motorized epifluorescence microscope (Upright Axioimager M1; Carl Zeiss) as previously described (Tripathi et al., 2007).
For immunofluorescence in tumors, the samples were fixed in 10% neutral buffered formalin and paraffin embedded blocks was prepared. For immunofluorescence, 2-micron tissues sections were first deparaffinized using xylene for 20 minutes, followed by rehydration by immersing in 100%, 90% and 70% ethanol for 10 minutes each, followed by washing with water. The antigen retrieval was then done using sodium citrate buffer (10 mM Sodium Citrate, pH 6.0) in a decloaking chamber (Biocare Medical) for 10 minutes at 95° C. followed by 70° C. for 5 minutes. Tissue sections were permeabilized with 1% goat serum and 0.4% Triton X-100 in PBS, blocked with 5% goat serum in 0.01% PBS supplemented with Tween-20 (PBS-T) for 1 hour at room temperature and stained with Ki67 antibody overnight at 4° C. Next day, sections were washed twice with 1% goat serum in PBS-T for 10 minutes each and stained with Alexa 488 labelled secondary antibody for 1 hour. Post two washes, the nuclei were stained with DAPI.
TUNEL AssayTUNEL assay was carried using Fluorometric TUNEL System according to the manufacturer's instructions. Briefly, the deparaffinised, rehydrated tissue sections were fixed 4% formaldehyde in PBS for 15 minutes and then permeabilized using 100 μl of a 20 μg/ml Proteinase K solution incubated at room temperature for 8-10 minutes. Following this, the sections were refixed for 5 minutes, equilibrated and then 50 μl of TdT reaction mix was added for 60 minutes at 37° C. in a humidified chamber. The reaction was stopped by immersing slides in 2×SSC for 15 minutes. The nuclei were the counterstained with DAPI. All imaging was carried out in LSM 510 Meta System (Carl Zeiss, Germany) with 63×/1.4 oil immersion objective. The laser line used was Argon 458/477/488/514 nm.
Statistical AnalysisAll quantitations are presented as mean±S.D. Details about the number of samples analyzed for each experiment are mentioned in figure legends. The p values or calculated probability is as follows: * p<0.05, ** p<0.01, *** p<0.001, **** p<0.0001 while n.s. indicates that the result is not significant.
Numbered Embodiments1. A method for treating colorectal cancer in a patient in need thereof, comprising:
a. administering a chemotherapy to the patient; and
b. administering an inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction to the patient after starting or simultaneously with the chemotherapy.
2. The method as recited in Embodiment 1, wherein the inhibitor of BLM-RAD54 interaction is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
3. The method as recited in Embodiment 1 or 2, wherein the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
4. The method as recited in any one of Embodiments 1-3, wherein the chemotherapy comprises administration of cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
5. The method as recited in any one of Embodiments 1-4, wherein the chemotherapy comprises administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
6. The method as recited in any one of Embodiments 1-5, wherein administration of the inhibitor of BLM-RAD54 interaction inhibits the interaction of BLM with RAD54 in cancer cells of the patient by about 10%-80% compared to levels of BLM-RAD54 interaction in the absence of administration of the inhibitor.
7. The method as recited in any one of Embodiments 1-6, wherein administration of the inhibitor of BLM-RAD54 interaction reduces proliferation of colorectal cancer cells by about 10%-80% in the patient compared to proliferation of colorectal cancer cells in the absence of administration the inhibitor.
8. A method for inhibiting an interaction of Bloom syndrome protein (BLM) and RAD54 in cancer cells, comprising contacting the cancer cells with an inhibitor of BLM-RAD54 interaction selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
9. The method as recited in Embodiment 8, wherein the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
10. The method as recited in Embodiment 8 or 9, wherein the cancer cells are being administered with cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
11. The method as recited in any one of Embodiments 8-10, wherein the cancer cells are colorectal cancer cells.
12. The method as recited in any one of Embodiments 8-11, wherein the interaction of BLM with RAD54 is inhibited by about 10%-80% in the cancer cells compared to untreated cancer cells or cancer cells treated with a control.
13. The method as recited in any one of Embodiments 8-12, wherein the inhibitor of BLM-RAD54 interaction reduces proliferation of cancer cells by about 10%-80% compared to untreated cancer cells or cancer cells treated with a control.
14. A method for reducing resistance to chemotherapy in a cancer patient, comprising administering an inhibitor of BLM-RAD54 interaction to the cancer patient after starting the chemotherapy or simultaneously with the chemotherapy.
15. The method as recited in Embodiment 14, wherein the inhibitor of BLM-RAD54 interaction is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
16. The method as recited in Embodiment 14 or 15, wherein the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
17. The method as recited in any one of Embodiments 14-16, wherein the chemotherapy comprises administration of cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
18. The method as recited in any one of Embodiments 14-17, wherein the cancer patient has colorectal cancer.
19. The method as recited in any one of Embodiments 14-18, wherein the BLM-RAD54 interaction is inhibited by about 10%-80% in the cancer patient compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
20. The method as recited in any one of Embodiments 14-19, wherein administration of the inhibitor of BLM-RAD54 interaction reduces proliferation of cancer cells by about 10%-80% in the patient compared to proliferation of cancer cells in the absence of the inhibitor.
21. An inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction for use as an adjunct therapy in treating cancer.
22. The inhibitor for use as recited in Embodiment 21, wherein the cancer is colorectal cancer.
23. The inhibitor for use as recited in Embodiment 21 or 22, wherein the inhibitor is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
24. The inhibitor for use as recited in any one of Embodiments 21-23, wherein the inhibitor is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
25. The inhibitor for use as recited in any one of Embodiments 21-24, wherein the inhibitor is an adjunct therapy for chemotherapy comprising cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
26. The inhibitor for use as recited in any one of Embodiments 21-24, wherein the inhibitor is an adjunct therapy for chemotherapy comprising administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
27. The inhibitor for use as recited in any one of Embodiments 21-26, wherein the inhibitor inhibits the interaction of BLM and RAD54 in cancer cells by about 10%-80% compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
28. The inhibitor for use as recited in any one of Embodiments 21-27, wherein the inhibitor reduces proliferation of cancer cells by about 10%-80% compared to proliferation of cancer cells in the absence the inhibitor.
29. An inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction for use in reducing resistance to chemotherapy in treating cancer.
30. The inhibitor for use as recited in Embodiment 29, wherein the cancer is colorectal cancer.
31. The inhibitor for use as recited in Embodiment 29 or 30, wherein the inhibitor is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
32. The inhibitor for use as recited in any one of Embodiments 29-31, wherein the inhibitor is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
33. The inhibitor for use as recited in any one of Embodiments 29-32, wherein the chemotherapy comprises cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
34. The inhibitor for use as recited in any one of Embodiments 29-32, wherein the chemotherapy comprises 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
35. The inhibitor for use as recited in any one of Embodiments 29-34, wherein the inhibitor inhibits the interaction of BLM and RAD54 in cancer cells by about 10%-80% compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
36. The inhibitor for use as recited in any one of Embodiments 29-35, wherein the inhibitor reduces proliferation of cancer cells by about 10%-80% compared to proliferation of cancer cells in the absence of the inhibitor.
37. Use of an inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction as an adjunct therapy in treating cancer.
38. The use as recited in Embodiment 37, wherein the cancer is colorectal cancer.
39. The use as recited in Embodiment 37 or 38, wherein the inhibitor is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
40. The use as recited in any one of Embodiments 37-39, wherein the inhibitor is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
41. The use as recited in any one of Embodiments 37-40, wherein the inhibitor is an adjunct therapy for chemotherapy comprising cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
42. The use as recited in any one of Embodiments 37-40, wherein the inhibitor is an adjunct therapy for chemotherapy comprising 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
43. The use as recited in any one of Embodiments 37-42, wherein the inhibitor inhibits the interaction of BLM and RAD54 in cancer cells by about 10%-80% compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
44. The use as recited in any one of Embodiments 37-43, wherein the inhibitor reduces proliferation of cancer cells by about 10%-80% compared to proliferation of cancer cells in the absence of the inhibitor.
45. Use of an inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction in reducing resistance to chemotherapy in treating cancer.
46. The use as recited in Embodiment 45, wherein the cancer is colorectal cancer.
47. The use as recited in Embodiment 45 or 46, wherein the inhibitor is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
48. The use as recited in any one of Embodiments 45-47, wherein the inhibitor is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
49. The use as recited in any one of Embodiments 45-48, wherein the chemotherapy comprises cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
50. The use as recited in any one of Embodiments 45-48, wherein the chemotherapy comprises 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
51. The use as recited in any one of Embodiments 45-50, wherein the inhibitor inhibits the interaction of BLM and RAD54 in cancer cells by about 10%-80% compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
52. The use as recited in any one of Embodiments 45-51, wherein the inhibitor reduces proliferation of cancer cells by about 10%-80% compared to proliferation of cancer cells in the absence the inhibitor.
Claims
1. A method for treating colorectal cancer in a patient in need thereof, comprising:
- a. administering a chemotherapy to the patient; and
- b. administering an inhibitor of Bloom syndrome protein (BLM) and RAD54 interaction to the patient after starting the chemotherapy or simultaneously with the chemotherapy.
2. The method of claim 1, wherein the inhibitor of BLM-RAD54 interaction is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
3. The method of claim 1, wherein the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
4. The method of claim 1, wherein the chemotherapy comprises administration of cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
5. The method of claim 1, wherein the chemotherapy comprises administration of 5-Fluorouracil (5-FU), Capecitabine, Irinotecan, Oxaliplatin, Trifluridine, tipiracil, or a combination thereof.
6. The method of claim 1, wherein administration of the inhibitor of BLM-RAD54 interaction inhibits the interaction of BLM and RAD54 in cancer cells of the patient by about 10%-80% compared to levels of BLM-RAD54 interaction in the absence of administration of the inhibitor.
7. The method of claim 1, wherein administration of the inhibitor of BLM-RAD54 interaction reduces proliferation of colorectal cancer cells by about 10%-80% in the patient compared to proliferation of colorectal cancer cells in the absence of administration the inhibitor.
8. A method for inhibiting an interaction of Bloom syndrome protein (BLM) and RAD54 in cancer cells, comprising contacting the cancer cells with an inhibitor of BLM-RAD54 interaction selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
9. The method of claim 8, wherein the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
10. The method of claim 8, wherein the cancer cells are being administered with cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
11. The method of claim 8, wherein the cancer cells are colorectal cancer cells.
12. The method of claim 8, wherein the interaction of BLM and RAD54 is inhibited by about 10%-80% in the cancer cells compared to untreated cancer cells or cancer cells treated with a control.
13. The method of claim 8, wherein the inhibitor of BLM-RAD54 interaction reduces proliferation of cancer cells by about 10%-80% compared to untreated cancer cells or cancer cells treated with a control.
14. A method for reducing resistance to chemotherapy in a cancer patient, comprising administering an inhibitor of BLM-RAD54 interaction to the cancer patient after starting the chemotherapy or simultaneously with the chemotherapy.
15. The method of claim 14, wherein the inhibitor of BLM-RAD54 interaction is selected from the group consisting of: Azaguanine-8, Allantoin, Acetazolamide, Metformin, Atracurum, Prednisone, Dipyridamole, Metronidazole, Khellin, Apomorphine, Naloxone, Bromocryptine, Glipizide, Verapamil, Erythromycin, Chloroxine, Loxapine, a pharmaceutically acceptable salt thereof, and a combination thereof.
16. The method of claim 14, wherein the inhibitor of BLM-RAD54 interaction is selected from Acetazolamide or a pharmaceutically acceptable salt thereof, Dipyridamole or a pharmaceutically acceptable salt thereof, Loxapine Succinate, or a combination thereof.
17. The method of claim 14, wherein the chemotherapy comprises administration of cisplatin, oxaloplatin, carboplatin, camptothecin, or a combination thereof.
18. The method of claim 14, wherein the cancer patient has colorectal cancer.
19. The method of claim 14, wherein the BLM-RAD54 interaction is inhibited by about 10%-80% in the cancer patient compared to levels of BLM-RAD54 interaction in the absence of the inhibitor.
20. The method of claim 14, wherein administration of the inhibitor of BLM-RAD54 interaction reduces proliferation of cancer cells by about 10%-80% in the patient compared to proliferation of cancer cells in the absence of the inhibitor.
Type: Application
Filed: Nov 17, 2023
Publication Date: Jun 6, 2024
Inventor: Sagar SENGUPTA (Delhi)
Application Number: 18/513,311
